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General NPI Number Information
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NPI Number | 1831395870
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Entity Type | Organization
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Legal Business Name | BLC LEXINGTON SNF, LLC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 2770 PALUMBO DR
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City | LEXINGTON
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State | KY
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Zip | 40509-1232
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Country | US
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Telephone | 859-263-2410
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Fax | 859-263-2930
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Provider Business Mailing Address
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Address Line | 330 N WABASH AVE SUITE 1400
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City | CHICAGO
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State | IL
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Zip | 60611-3586
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Country | US
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Telephone | 312-977-3700
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Fax | 312-977-3701
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN P RIJOS
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Credential |
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Telephone | 312-977-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | PENDING
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License Number State | KY
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